Southwestern Provider Services, Inc (SPSI) July 11 th , 2018 - - PowerPoint PPT Presentation

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Jan 06, 2024 204 likes •296 views

Southwestern Provider Services, Inc (SPSI) July 11 th , 2018 Introductions and Invitations An EDI Management Services Organizations Primary Objective Helping to Secure Compensation for the Services Rendered Major EDI Components

SLIDE 1

Southwestern Provider Services, Inc

(SPSI) July 11th, 2018

SLIDE 2

Introductions and Invitations

SLIDE 3

An EDI Management Services Organizations

Primary Objective

Helping to Secure Compensation for the Services Rendered

SLIDE 4

Major EDI Components

 Eligibility  Claims  Remittances

Technology Platform

 HIPAA Compliant  Scalable (single provider practice to large university setting)  No hardware investment - simply an internet connection

SLIDE 5

What distinguishes SPSI from others

 Provider Focus  Operational Integration  Local Payor Knowledge / Investment  National Payor Reach  Strong Local Presence

SLIDE 6

Mercy Care Plans

 Business Partner with Mercy Care since Inception  Today…

Support over 160 Arizona provider organizations
Providing Medical / Behavioral Health / Radiology / Home Health / Residential Care
Communication over 1.5 million claims / month (Full RC generates 5 million transactions)
Strong Relations with MCP Team which Help Resolve EDI Issues
Pricing
Claims Processing Costs are underwriting by MCP
Eligibility and Remittance Process
Volume Based Cost / Transaction (cost based on what you use)

SLIDE 7

Our Invitation